Characteristics of dropouts, remainers, and refusers at a psychosocial rehabilitation program for the chronically mentally disabled

Thirty-eight chronically mentally disabled patients who were invited to join a newly established, vocationally oriented, day treatment program in Raleigh, North Carolina, served as subjects. We attempted to determine whether demographic and psychosocial characteristics significantly differed among groups of clients who dropped out of, remained in, or refused membership in this community-support program. A variety of demographic, expectancy, psychological, and psychosocial measures were administered to each subject. Most significant was the finding that the subjects' perceived level of help and support from friends was a significant determinant of the level of program participation. Those subjects who refused to participate (refusers) perceived themselves as receiving proportionately less support than did members of the other two groups (dropouts and remainers).     

A Rorschach stability study in a nonpatient adult sample

The objective of this study was to provide new primary data on Rorschach Comprehensive System stability levels. To achieve this, we tested 75 French nonpatient adults twice on the Rorschach with a 3-month interval between the tests. Interrater reliability was in the excellent range for most of the variables studied. The overall stability level in a selected set of previously studied variables was below expectations (median r = .53). Personality, cognitive or self/relational variables yielded higher test-retest correlations than emotional and coping variables. Moderators of stability could be identified: (a) overall level of Task Engagement (TE) in F, m, FM + m, a, FC, Sum C', Sum V, Sum Shd, Fr + rF, INC + FAB, COP, es, Adj es, EGO, and Blends; (b) variations in TE in F, FM, and p; (c) state distress in Zd, m, FM + m, a, C, CF + C, WSumC, FD, and es; (d) variables derived from the number of responses impacted stability in P, Zf, m, FC, CF + C, Sum C', Sum V, MOR, EA, es, and Blends. These results provide further support for the reliability of several measures. Examiner effects as an influence on productivity and TE were identified as an important area for future research.     

The Susceptibility of the EPPS to Faking in Simulated and Actual Employment Situations

To investigate the fakability of the Edwards Personal Preference Schedule (EPPS) 60 Ss were given the scale under standard (anonymous) instructions; a month later, a third of them were given the scale under ‘simulated’ instructions, a third under instructions to make a ‘good impression’ and a third under ‘actual employment’ conditions. Since the pattern of scores differed significantly between the standard instructions and each of the latter instructions it was concluded that the EPPS is very easily faked and hence should be used with caution outside the research setting.     

Expérience de pré-deuil à l’approche du décès de son conjoint : une analyse phénoménologique interprétative

This article aims at scientifically investigating the anticipatory grief/mourning phenomenon, which is referred to the psychic processes before the death of a loved one, using the interpretative phenomenological analysis (IPA). The IPA is grounded on a phenomenological hermeneutic: the indepth study of the meaning-process of a subjective experience by a person. This analysis is applied to the case of a woman caring for her spouse suffering from a cancer, in end-of-life. The findings give an insight of the psychological functioning of a person facing the impending death of a relative, and offer reflection-tools concerning prevention of psychic distress in the bereavement field.     

Vers des normes francophones pour le Rorschach en système intégré : premiers résultats sur un échantillon de 146 adultes

We present the main features of the European French-Speaking Normative Study for the Rorschach comprehensive system (CS) in adults. After reviewing previous attempts at establishing norms and diverse methodological considerations, we justify the choices made for the present project based on a clear definition of the sample, careful control of recruitment and quality of data collection procedures. Results of phase 1 (N =146) are presented and analyzed. Main variables from the CS are described and some key variables are compared to samples currently used as references (from the US). Differences are observable, although it is too early at this point to draw any conclusions that could influence interpretation. Such conclusions will be formulated when data collection is completed (final objective N =450).     

Rorschach et maladies somatiques : Applications et éléments de validité

The goal of this article is to review the main applications of the Rorschach to the field of physical illness. Studies are presented and discussed concerning three areas, from the most theoretical to the most empirical: (1) The most widely used content scoring procedures, namely those of Fisher and Cleveland’s (1958) and Masling et al. (1967); (2) A group of studies dealing with a psychosomatic risk factor (alexithymia); (3) A summary of results concerning investigations of how Rorschach variables correlate with and determine self-care behaviours in people with various diseases. These three research axes illustrate the different types of relations between mind and body. Their results demonstrate that research questions and methods are being renewed.     

The detection and generation of sequences as a key to cerebellar function: experiments and theory

Starting from macroscopic and microscopic facts of cerebellar histology, we propose a new functional interpretation that may elucidate the role of the cerebellum in movement control. The idea is that the cerebellum is a large collection of individual lines (Eccles's "beams": Eccles et al. 1967a) that respond specifically to certain sequences of events in the input and in turn produce sequences of signals in the output. We believe that the sequence-in/sequence-out mode of operation is as typical for the cerebellar cortex as the transformation of sets into sets of active neurons is typical for the cerebral cortex, and that both the histological differences between the two and their reciprocal functional interactions become understandable in the light of this dichotomy. The response of Purkinje cells to sequences of stimuli in the mossy fiber system was shown experimentally by Heck on surviving slices of rat and guinea pig cerebellum. Sequential activation of a row of eleven stimulating electrodes in the granular layer, imitating a "movement" of the stimuli along the folium, produces a powerful volley in the parallel fibers that strongly excites Purkinje cells, as evidenced by intracellular recording. The volley, or "tidal wave," has maximal amplitude when the stimulus moves toward the recording site at the speed of conduction in parallel fibers, and much smaller amplitudes for lower or higher "velocities." The succession of stimuli has no effect when they "move" in the opposite direction. Synchronous activation of the stimulus electrodes also had hardly any effect. We believe that the sequences of mossy fiber activation that normally produce this effect in the intact cerebellum are a combination of motor planning relayed to the cerebellum by the cerebral cortex, and information about ongoing movement, reaching the cerebellum from the spinal cord. The output elicited by the specific sequence to which a "beam" is tuned may well be a succession of well timed inhibitory volleys "sculpting" the motor sequences so as to adapt them to the complicated requirements of the physics of a multijointed system.     

Catching up with wonderful women: The women‐are‐wonderful effect is smaller in more gender egalitarian societies

Inequalities between men and women are common and well‐documented. Objective indexes show that men are better positioned than women in societal hierarchies—there is no single country in the world without a gender gap. In contrast, researchers have found that the women‐are‐wonderful effect—that women are evaluated more positively than men overall—is also common. Cross‐cultural studies on gender equality reveal that the more gender egalitarian the society is, the less prevalent explicit gender stereotypes are. Yet, because self‐reported gender stereotypes may differ from implicit attitudes towards each gender, we reanalysed data collected across 44 cultures, and (a) confirmed that societal gender egalitarianism reduces the women‐are‐wonderful effect when it is measured more implicitly (i.e. rating the personality of men and women presented in images) and (b) documented that the social perception of men benefits more from gender egalitarianism than that of women.     

A Systematic Review of Quality of Life Measures in Pregnant and Postpartum Mothers

Quality of life has emerged as an essential health component that broadens the traditionally narrow concerns focused on only morbidity and life expectancy. Although a growing number of tools to measure quality of life are in circulation, there is a lack of guidelines as well as rigorous assessment for their use with pregnant and postpartum populations. It is also unclear whether these instruments could validly be employed to measure patient-reported outcomes in comparative effectiveness research of maternal care interventions. This paper reviews articles cited in CINAHL, COCHRANE, EMBASE, PSYCINFO, and PUBMED that addressed quality of life in pregnant and postpartum populations. Instruments used to measure quality of life in selected articles were assessed for their adherence to international guidelines for health outcomes instrument development and validation. The authors identified 129 articles that addressed quality of life in pregnant and/or postpartum women. Out of these, only 64 quality (generic and specific) scales were judged relevant to be included in this study. Analysis of measurement scales used in the pregnant and/or postpartum populations revealed important validity, reliability and psychometric inadequacies that negate their use in comparative effectiveness analysis in pregnant and post-partum populations. Valid, reliable, and responsive instruments to measure patient-reported outcomes in pregnant and postpartum populations are lacking. To demonstrate the effectiveness of various treatment and prevention programs, future research to develop and validate a robust and responsive quality of life measurement scale in pregnant and postpartum populations is needed.